Inspection Summary

Overall summary & rating

Dell Care provides personal care for people in their own homes. At the time of our inspection, 10 people were using the service. This was a first comprehensive ratings inspection of this service.

There was a registered manager in post, who was also the provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service was safe. Staff had assessed risks to individuals and mitigated them appropriately. Staff were aware of safeguarding procedures and knew how to report any concerns they had. There were enough staff and people’s visits were always covered. Staff were recruited safely.

Staff supported people safely to take their medicines and the records were clear. Where needed, staff provided prompting for people to take their own medicines.

People received a high standard of care from trained staff. Staff felt supported at work. They sought consent before delivering care and were aware of individual’s mental capacity to make decisions. Staff supported people to access healthcare services promptly when required.

Staff supported people with their meals when they needed, and encouraged people to drink enough. These needs were also specified in people’s care plans.

People were cared for by staff who knew them well and communicated effectively with them. People were involved and consulted about their care when planning and reviewing their needs. Staff promoted their independence, and respected people’s privacy and dignity.

People received individualised care according to their own needs, and when they changed, staff responded and were flexible. People were asked for their feedback on the service they received and knew how to raise a concern and who to, if they needed to.

The staff worked closely as a small team, with a positive attitude, and good leadership was in place. There were systems in place to ensure that high quality care was delivered continuously and any potential problems would be identified in a timely manner.

Inspection ratings

We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels:

Outstanding – the service is performing exceptionally well.

Good – the service is performing well and meeting our expectations.

Requires improvement – the service isn't performing as well as it should and we have told the service how it must improve.

Inadequate – the service is performing badly and we've taken enforcement action against the provider of the service.

No rating/under appeal/rating suspended – there are some services which we can’t rate, while some might be under appeal from the provider. Suspended ratings are being reviewed by us and will be published soon.

Ticks and crosses

We don't rate every type of service. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them.

There's no need for the service to take further action. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service.

The service must make improvements.

At least one standard in this area was not being met when we inspected the service and we have taken enforcement action.